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Individual

DARIA ANN LAURSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-8243
Mailing address
12 IROQUOIS DR, SARATOGA SPRINGS, NY 12866-3722

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402107-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000428405001
BLUESHIELD OF NORTHEASTERN NY
05
402107
NY
05
544623
NY
01
J400347768
MEDICARE
NY
01
P01772165
MEDICARE RAILROAD
NY
Enumeration date
11/03/2010
Last updated
09/27/2017
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